Nocturnal bruxism and temporomandibular disorders.
Nocturnal bruxism and temporomandibular disorders.
复制标题
夜间磨牙症和颞下颌关节紊乱病。
作者：
J. Rugh;J. Harlan
本章讨论了夜间磨牙症的重要方面及其与咀嚼系统紊乱和头痛的关系。磨牙症被认为是一种与压力有关的睡眠障碍，在男性和女性、儿童和成人中都会发生。在大多数患者中，磨牙症只会导致轻微的牙齿磨损；然而，它可以变得非常严重，几乎发生在咀嚼设备的每一个部分。夜间磨牙症不应被忽视，因为它是肌肉头痛的一个病因。短期的急性治疗可能包括物理治疗、夜间肌电生物反馈，以及缓解焦虑和改善睡眠的药物治疗。长期治疗通常包括某种形式的减压，改变生活方式，以及咬合夹板或守夜人来保护牙齿和咀嚼系统。
This chapter has discussed the important aspects of nocturnal bruxism and its relation to disorders of the masticatory system and headaches. Bruxism is believed to be a stress-related sleep disorder, occurring in both men and women, in children, and in adults. In most patients, bruxism results only in minor tooth wear; however, it can become extremely severe with damage occurring in essentially every part of the masticatory apparatus. Nocturnal bruxism should not be overlooked as an etiologic factor in muscular headaches. Short-term acute therapy may involve physical therapy, nocturnal electromyographic biofeedback, and medication to relieve anxiety and improve sleep. Long-term management usually includes some form of stress reduction, change in lifestyle, and an occlusal splint or nightguard to protect the teeth and masticatory system.